HIV
Conditions
Brief summary
The main assumption is that the dolutegravir can get virologic suppression to suboptimal adherence levels (between 80 and 95%, and after treatment interruptions) where other molecules are not capable, due to their pharmacokinetic/pharmacodynamic (pardonnance). While the investigators goal is not to compare molecules (study with one arm) in terms of forgiveness, the results of this cohort in terms of forgiveness could be compared to other cohorts available.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* HIV-1 * Age over 18 years * Information letter signed * ART (antiretroviral therapy) with at least 3 active molecules * Patients starting treatment with dolutegravir (naïve to antiretroviral treatment, switch, virologic failure)
Exclusion criteria
* pregnant woman * HIV-2 * Patient does not have responsibility for the observance of treatment (disorder of judgment, guardianship, institutionalization) * Patient receiving aid incompatible with compliance with the use of electronic pillbox
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Adherence to dolutegravir measured by the electronic pill boxes | From baseline up to week 24 | Calculating the total compliance |
| Virologic Efficacy | week 24 | Are defined as secondary virological failure condition patients to S24 a viral load above 40 copies / ml on 2 consecutive samples. |
Secondary
| Measure | Time frame |
|---|---|
| Patient Genotype resistance if failure | Week 16 and 24 |
Countries
France